HB 3027

Abstract

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the medical assistance program shall cover charges incurred, and anesthetics provided, in conjunction with dental care that is provided to an individual in a hospital or an ambulatory surgical treatment center if the individual is otherwise eligible for medical assistance and any of the following applies: (1) the individual has a medical condition that requires hospitalization or general anesthesia for dental care; or (2) the individual is a person with a disability. Defines "person with a disability" to mean a person, regardless of age, with a chronic disability if the chronic disability meets specified conditions. Provides that the medical assistance program shall cover charges incurred, and anesthetics provided by a dentist with a permit provided under the Illinois Dental Practice Act or by a physician licensed under the Medical Practice Act to practice medicine in all of its branches, in conjunction with dental care that is provided to an individual in a dental office, oral surgeon's office, hospital, or ambulatory surgical treatment center if the individual, regardless of age, is otherwise eligible for medical assistance and has been diagnosed with (i) an autism spectrum disorder as defined in the Autism Spectrum Disorders Reporting Act or (ii) a developmental disability. Defines "developmental disability". Requires the Department of Healthcare and Family Services to reimburse providers of services covered under the amendatory Act at the same rates as the Medicare program's rates for similar services.